NPI 1902006299

Jones Pembrooke Opticians, LLC

Organisation Optician Waldorf, MD

Practice location

Address: 11355 Pembrooke Sq Suite 106, Waldorf, MD 20603-4805
Phone: (301) 645-6822
Fax: (301) 705-8785

Authorised official

Name: Karen Kistler Ward
Title: Owner/Optician
Phone: (301) 645-6822

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Maryland →

Registry record

NPI: 1902006299
Entity type: Organization
NPI issued: 24 Jul 2007
Record last updated: 15 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.